Instructions For CCC-24

APPLICATION FOR APPROVAL OF WAREHOUSE FOR UNIFORM GRAIN AND RICE STORAGE AGREEMENT (UGRSA)

 

Warehouse operators use this form when applying for a Uniform Grain and Rice Storage Agreement to store CCC-owned and loan grain.

 

Submit the original of the completed form in hard copy or facsimile to the Kansas City Commodity Office, Storage Contract Branch, STOP 8748, P.O. Box 419205, Kansas City, MO 64141-6205; telephone 816-926-6446 or FAX 816-926-1426.   Customers who have established electronic access credentials with KCCO may electronically transmit this form to KCCO.  Features for transmitting the form electronically are available to those customers with access credentials only.  If you would like to establish online access credentials with USDA, follow the instructions provided at the USDA eForms web site.

 

Warehouse Operators must complete Items 5 through 17D.

Items 1 through 4 are for CCC use only.

Items 5-17D

Fld Name /
Item No.

Instruction

5

Legal Entity Name

Enter the name of the warehouse exactly as printed on the warehouse receipts.

 

5A-5C

Warehouse Contact Info

 

Item 5A.  Enter the telephone number of the warehouse, including area

                Code.

 

Item 5B.  Enter the FAX number of the warehouse, including area code.

 

Item 5C.  Enter the contact’s email address.

 

6

Current

Mailing Address

Item 6.  Enter current mailing street address.

 

Item 6A.  Enter the city.

 

Item 6B.  Enter the State.

 

Item 6C.  Enter the 9 digit Zip code.

7A – 7B

Contract Mailing Address

 

Item 7.   Enter the warehouse contact person.

 

Item 7A.  Enter the contact’s telephone number, including area code.

 

Item 7B.  Enter the contact's FAX number, including area code.

8

Type of warehouse License

Item 8       Enter a check to indicate if warehouse is unlicensed, State licensed, or U.S. Warehouse Act (USWA) licensed.

 

If USWA licensed, enter the license number.

9

Type of Operating Entity

Enter a check to indicate if the operating entity is a corporation, general partnership, limited, individual, LLC, or other. 

 

If operating entity is other than corporation, general partnership, limited, or individual, enter the type of operating entity in Other (Specify).

10

Duns Number

Enter number assigned by Dunn and Bradstreet and the 4 character suffix assigned.

11

Central Contractor Registration

Check “YES” if registration is completed.

 

Check “NO” if registration is not completed

12(A) - 12(D)

Total Handling Capacity

Item 12A. Enter the total truck unload capability and the total load out capability, in bushels, for all warehouse locations during a normal workday.

 

Item 12B.  Enter the total barge unload capability and the total load out capability, in bushels, for all warehouse locations during a normal workday.

 

Item 12C.  Enter the total vessel unload capability and the total load out capability, in bushels, for all warehouse locations during a normal workday.

 

Item 12D. Enter the total railroad car (hoppers) unload capability and the total load out capability, in bushels, for all warehouse locations during a normal workday.

13-15

Locations

Item 13-15.  Enter the:

                 

·   location (City, State, and County) where the warehouse operator offers handling by truck, barge, ship, rail.

 

16A-F

Capability

Item 16A-D.  Enter the handling capability.

 

Item 16E.   Enter the abbreviations for the rail line(s).

 

Item 16F.   Enter storage capacity in bushels.

 

Repeat Items 16A-F for each warehouse location in Items 16A-F.  If more locations, attach a separate sheet reporting the additional information

17A - 17D

Certification and Signature

The applicant certifies that all statements are true and correct.

 

Item 17A.  Enter the legal entity name of the warehouse as shown in

                  Item 1.

 

Item 17B.  Enter the signature of an authorized individual, i.e., corporate officer, partner, or proprietor.

 

Item 17C.  Enter the title of the person signing for the warehouse.

 

Item 17D.  Enter the date the application is signed.

 

If you are mailing or faxing this form, print the form and enter the

signature of an authorized individual, i.e., a corporate officer, partner, or

proprietor.  If this form is approved for electronic transmission and you

have established credentials with USDA to submit forms electronically,

use the buttons provided on the form for transmitting the form to the

Kansas City Commodity Office.

 

The warehouse operator must:

 

To qualify for official weights, receive and load out grain shipped by rail over scales that are certified by the Association of American Railroads (AAR), the servicing rail, Federal Grain and Inspection Service (FGIS), or a qualified independent third party.  (Official weights are a requirement for a terminal warehouse.)

 

To provide official origin grades for rail or barge load out, either have a mechanical sampler agreement (certified by FGIS) or a “Route” sampler agreement (i.e., cars are probed by a licensed sampler or inspector and samples graded by recognized FGIS inspection agency) with CCC.